Samantha Nicole Casey
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1114752003
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1114752003
- Entity type
- Individual (NPI-1)
- Name
- Samantha Nicole Casey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999
Phone 617-638-8000
Mailing address
1 Boston Medical Ctr PlBoston, MA 02118-2908
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